Study On The Relationship Between Syndrome Type In TCM Of Type2Diabetes And Ankle Brachial Index And Hematocrit

Objective:To study the distribution of TCM syndromes of Type2Diabetes and the relationship between syndrome type in TCM of Type2Diabetes and Ankle Brachial Index and Hematocrit.Methods:Patients with Type2Diabetes, who were in accordance with the inclusion and exclusi on criteria, and20cases of normal control group were involved in the study. Syndro me of TCM, general clinical data, height, weight, blood pressure, HbA1c, ABI and H CT were collected. Statistical dates were analyzed and relationship between syndrome t ype in TCM of Type2Diabetes and Ankle Brachial Index and Hematocrit were expl ored.Results:1. Syndrome classification of Type2Diabetes patients(from high to low):deficiency o f both qi and yin(28%),Damp heat trapped spleen syndrome(23%), deficiency of yin a nd excessive heat syndrome(21%), Vein blood stasis syndrome(21%), syndrome of defi ciency of both yin and yang(7%).2. Course of the distribution of Type2Diabetes patients:There were differences betw een all groups (P<0.05). Patients in deficiency of both qi and yin, whose course of T ype2Diabetes was less than1year, was in majority. Patients in Vein blood stasis sy ndrome, whose course of Type2Diabetes was longer, was in majority.The course of Type2Diabetes of patients in deficiency of yin and excessive heat syndrome was Ion ger in the intermediate stage. The number of people in syndrome of deficiency of bot h yin and yang was least among patients whose course of Type2Diabetes was less t han1year.3. ABI level of Type2Diabetes patients:Compared with the normal control group, t here were differences between other TCM syndrome type groups (P<0.05). Compared with the TCM syndrome type groups, the level of ABI in the group of Vein blood s tasis syndrome was higher than that of deficiency of yin and excessive heat syndrome (P<0.05).There was no difference between other groups (p>0.05). The lowest level of ABI was in the group of Vein blood stasis syndrome.4. HCT level of Type2Diabetes patients:Compared with the normal control group, t here were significant differences between other TCM syndrome type groups (P<0.01). Compared with the TCM syndrome type groups, the level of HCT in the group of d eficiency of yin and excessive heat syndrome was higher than that of both qi and yin (p<0.05).There was no difference between other groups(p>0.05).5. the unusual level of ABI:There were difference among the percentage of people w ith unusual ABI level in TCM syndrome type groups(P<0.05). The percentage of peop le over70of age with unusual ABI level in the group of deficiency of both qi and yin was the highest compared with other groups.Conclusion:Deficiency of both qi and yin was the most common syndrome type among Type2Diabetes patients. At the early stage, medium and late period of Type2diabetes, the most syndrome type were deficiency of both qi and yin, deficiency of yin and exces sive heat syndrome and Vein blood stasis syndrome respectively. The ABI level of Vei n blood stasis syndrome group was significantly lower than that of deficiency of yin and excessive heat syndrome group. The HCT level of deficiency of yin and excessiv e heat syndrome group was significantly higher than that of deficiency of both qi and yin group. Among Type2Diabetes patients over70of age with unusual ABI level, deficiency of both qi and yin was the the most common syndrome type.